As a man, I have lower right quadrant abdominal pain when I sit or in some laying-down positions, but rarely when standing or walking. While the pain is mild to moderate, it is disconcerting. Scans have shown nothing. My doctor seems to think if it hasn't killed me in 4-5 years, it can't be too important. That's because he doesn't have it. Any ideas out there?
You need to consult a doctor to rule out appendicitis, kidney stones, diverticulitis, crohn's disease, pelvic inflammatory disease etc.
The further plan of management would involve -
'-Blood tests including full blood count, electrolytes, urea, creatinine, liver function tests, pregnancy test and lipase.
-Imaging including erect chest X-ray and plain films of the abdomen
-An electrocardiograph to rule out a heart attack which can occasionally present as abdominal pain
If diagnosis remains unclear after history, examination and basic investigations as above then more advanced investigations may reveal a diagnosis. These as such would include
-Computed Tomography of the abdomen/pelvis
-Abdominal or pelvic ultrasound
-Endoscopy and colonoscopy'
Let us know about what your doctor advises and if you need any further information.
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